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Home My WebLink About1035 W 5th St - BuildingElectrical Permit 1035 W 5 'h St 12-829 12-833 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000833 Date 7/02/12 Application pin number . . . 265616 Property Address . . . . . . 1035 W 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0946 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc New home -------------------------'--------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES, MARY BOB'S ELECTRIC INC 1120 R ST 2293 DEER PARK RD. PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 808-3688 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . Permit Fee . . . . 160.00 Plan Check Fee .00 Issue Date . . . . 7/02/12 Valuation . . . . 0 Expiration Date 12/29/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH L A - SERVICE 7 A - ROUGH -IN I �� 112— 17`Y FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING MOTIIFY INSPECTOR WHEN CORK ECTIOMS ARE COMPLETED WITHIN 95 DAYS 00 NOT REMOVE - MIoRom(m REPORT 417-473.5 IRKS D�j P ERMIT # I INSPECTOR OWNER CONTRACTOR ADDRESS / l / &A3 y- AppRnxiFn NOT APPRnVFn . V.P* ! A ... ................. . �' tr.. .DITCH . . ❑ - ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: 111 y � MOTIIFY INSPECTOR WHEN CORK ECTIOMS ARE COMPLETED WITHIN 95 DAYS 00 NOT REMOVE - JUL-2-2012 07:29 FROM:BOBS ELECTRIC 3604529943 TO:CITY PERMITS P. 1/1 CITY OF PORT ANGELES PERMIT APPLICATION jUL 41 Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Fax: (360) 417-4711 InSPECTIM , Date: h 1 2 Si gle Family Dwelling _ Multi -Family or Commercial' _ Commercial Addition I Alteration / Remodel / Repair" Plan Review May Be R uired, Ple C se Tp ete Electrical Plan Review Information Sheet Job Address: �zifi Building Square Footage: 9 t Description of above Owner i matron Contra or Intprm " n Na A Name: - Mailin d Mailin dress; �^ City: :. state;{�_zlp, gfB(1..— city Stale. r Zp: —U&P, Phone: Fax; Phone: — Fax: -,? License # / Exrl License # I Exp. Item Unit Chame gty Total IQty Multiolled by UnK Charge) Service/Feeder 200 Amp. $119.90 $ Servioe/Feeder 201-400 Amp. $145,50 $ Service/Feeder 401-600 Amp $ 204,60 $ Service/Feeder 601.1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372,50 $ Branch Circuit W/ Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp. Service/Feeder 201100 Amp. $110.30 _ $ Temp. Service/Feeder 401-600 Amp. $148.70 $ Temp. Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95-90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit] Limped Energy / First 1500 sf — Commercial $ 95.90 $ .. ,.__ Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy - Multi -Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy - 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: 11X7 First 1300 Square Fl. $ 4ww/ $�Q Each Additional 500 Square Ft. or Portion of $.M2V Each Outbuilding or Detached Garage S 73.5 ) $ Each Swimming Pool or Hot Tub $110.3) $ S—L��tal Owner as defined by RCW.19.28.261 , (1) Owner will occupyhe structure for two years after this electrical permit is finalized. (2) Owner is required to hire an eleadcal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C-, RCW, Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications and PAM(' 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash O Check Credit caro 0 Oa6@& � . -� ' �a� 01101/2010 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000829 Date 7/02/12 Application pin number . . 195725 Property Address . . . . . . 1035 W STH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0946 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T -stat 2 on heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES,. MARY DAVE'S HTG & COOLING SRVC INC 1120 R ST PO BOX 413 PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 808-3688 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 7/02/12 Valuation . . . . 0 Expiration Date . . 12/29/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 'plc&l 17-- f,�P `., `��' FINAL aa) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING Jun 28 12 11:55a Dave's Heating & Cooling City of Port Angeles Permit Application Building DivisionlEtectrieal Inspections 321 East Fifth Street -P.O. Box 1150 Port Angeles Washington, 96362 Ph: (360)4174 5 Fax: J360) 4174711 Date: zc9- 1 & 2 Single Family Owellirg _ Multi-=amtly or Commercial' Commercial Addition /.Alteration l Remodel I Repair' ' Plan Review May Be Required, PI se Complete lectrical Plan R w Info mattioon�Sh�e_ett Job Address: Building Square Footage: 3604520939 Y!,L'! 2 8 L" t? ELECTRICAL INSPECTIONS S, Oescript:' of above I Yi �{ o�� l �-�l Grp (0,-;- "", ��aq�� yr-trY.. b 5 r CZLs �clr� s Owner Information Name: me ir'Nt u '�cZv►. �5 ontractor Infer ation Name: V4 V,-�5 +z R Lfr3 Mailing Address: Mailin ddres : P•O.4�O?C Zip: City: _ Phone: State: Zip: Fax: C.At6Uh State:60A Phone: 3 Fax:��-�J'i �9 License # I Exp. License # ( Exp. Unit Charoe Twal (Qlv Multiolied by Unit Charce) $119.90 S Service/Feeder 200 Amp. $145.50 S Service/Feeder 201-400 Amp. $ 20060 S Service/Feeder 401.600 Amp. S262.210 $ ServicelFeeder 601-1000 Amp. $ 372.50 $ ServicelFeeder over 1000 Amp. $ 2.60 $ Branch CacuitW! Service Feeder $ 73.50 S Branch Circuit Wr0 Service Feeder S 2.60 $ Each Additional Branch Circuit S 92.70 S Temp. Service! Feeder 200 Amp. $11030 s Temp. Service/Feeder 2Ci-0OOAmp. $148.70 $ Temp. ServicelFeeder 401.600 Amp. $167.90 S Temp. Service/Feeder 601-IOCD Amp. S 95.90 $ Portal to Portal Hourly S 88.20 $ Signl0udineLghting S 95.90 $ SignalCircurULimitedEnergy- Commercial Additional 150055.00 S 63,90 5 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit! Limited Energy - Multi -Family Dwelling $119.90 S Manufactured Home Connection $102.30 S Renewable Electrical Energy - 5KVA System or Less $110.30 5 First 1300 Square Ft. $ 35.20 S Each Adc1tonal503 Square Ft. cr Pcrbcn of S 73.50 S Each Outbuilding or Detached Garage $110.30 $ Each Swimming Pool or Hot Tub S 56.00 $ __S DO Thermostat $ 56i•Ot% Total Owner as defined by RCW.19.28.261: (1) Ownerwlll occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, WE C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles !Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator c f� Check X ✓< fJ Date: F��t'rC 1 Credit Card # j` 111 I i I ❑ Cash BUILDING PERMIT 1035 W ST" ST 12-320 �! BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: Date Received 321 12 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Permit #2— - Date Approved Applicant ---� 1 c—_%� S Ph e Property Owner 1"y S Phone Property Owner's Address ,e jjfn�-I-,�6 Contractor bUi 4deVJ 1,,,)e- Phone 340 f n9, -7il.i0 Contractor's A dress License # Ir -Y I �p� v Expires ��3I PROJECT ADDRESS Parcel Number Q 3 DO B o Prosect Tvoe & Brief Description; Residential ❑ Multi-famlly Check all that apply / (New Construction �j �� (�/� �.f G1nr� 0WOLI C, /❑ (/ Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage ❑ other ❑ Heat System XHeat pump wood -burning stove ❑ gas fireplace ❑ Other Floor Areas Basement 1g' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Exisfinq (sq. ft.) Lot /Z Zoning ❑ Commerc"a *6 i MAR CITY OF PORT ANr; Pi ri g BUILDING DIVISION ❑ tear off & re -roof ❑ lay over one layer ❑ pellet stove ❑ other Proposed (sa. ft.) 4 @ 5 &� per sq, ft. = $ Z$ 5(9 D /434 3� �0.. Zi b (Aso - 0016 Z3e 12--00 ✓223 I 3� 21 t Z TOTAL VALUATION $ 1 LP 2-� q -(a I Total footprint of structures _ 2�� sq. ft. T Lotsize oa sq. ft. = . Lot coveragE 0� CJ % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks,patios, and other impervious surfaces, (see PAMC 17,94.135 for exemptions) Site coverage _3 ,. % Max. height of proposed structures ZI ft. Occupancy group Will a lawn sprinkler system be installed? _A/0 Occupant load Will a fire sprinkler system be installed? 1j(r) Construction type I have read and completed this application and know it to be true and correct. I am that it is my responsibility to determine what permits are required, and to obtain perms; DateI , - int Name 6v&j �C ","Lj Signa T:Forms/Building Division/Building permit application # of bedrooms Z. # of full baths / # of half baths / rmit and understand 0 i a 0�_ ?ORT'JA t PRESCRIPTIVE APPROACH -SIMPLE FORM 3 r� For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 CITY GOVERNMENT Site Information: Lot: 12 �L�_ id 9 Address: City: Rns" f— A-iq_-_� State: it` Zip: 6 Z Contact:1X/J.Y1'�+'i S Phone: 390 9679 X59 6 Phone 2: � g, ->g "'9 Building Department Use Onlj: Permit # Notes: wnw fox, Ve]L_�f,� FAX: WSEC Table 6-1 �", •. , PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL',OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glaiing :: , Glazing U -Factor . 'Door Vaulted Option Areae%of. U- • . Ceiling '.Floor, , ;, Vertical. Overhead : Factor Ceiling Interior Exterior Floor R-49 III Unlimited 0.30 0.50 0.20 R-38 Concrete R-38 , Grade.. . adv This Project complies with the following: The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above, r The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be rgstalled per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U -factor listed above. Location of the door(s) taking exception: Type of Heat Source: __)V/LCl-- A -w- 11Zs -r— / T:Forms/Building Division/Prescriptive Approach -Simple Form j,./X H E C E I Y D MAR 24 2012 CITY OF PORT ANGELES BUILDING DIVIPI{)N Wall .. Will Wall ' Above Interior Exterior Floor Slab on Grade. Below Below Concrete ,Grade , Grade.. . R-21 R-21 R-30 / R-10 int TB R-10�. U=0.029 } 2' The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above, r The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be rgstalled per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U -factor listed above. Location of the door(s) taking exception: Type of Heat Source: __)V/LCl-- A -w- 11Zs -r— / T:Forms/Building Division/Prescriptive Approach -Simple Form j,./X H E C E I Y D MAR 24 2012 CITY OF PORT ANGELES BUILDING DIVIPI{)N f• i •,,� � t � 1 �`� S/iJNi CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES. WA 98362 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms/Building Division/Public Works Permit Page 2 Application Number . . . . . 12-00000320 Date 4/19/12 Application pin number . . . 257600 Special Notes and Comments --------- ------ completed by the contractor and approved by Public Works Engineering prior to the start of work. A pedestrian or traffic control plan is to be submitted for approval with the application as necessary. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417-4831 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES OVERHEAD SERVICE FEE 440.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- PW WATER SYSTEM USE FEE 2260.00 Fee summary Charged Paid Credited Due Permit Fee Total 1430.00 1430.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4964.50 4964.50 .00 .00 Grand Total 6394.50 6394.50 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT, 417-4750 PLANNING DEPT. BUILDING 41,7- BUILDING 4815 T:Forms/Building Division/Public Works Permit DATE I ACCEPTED YES NO CITY OF PORT ANGELES PUBLIC. WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000320 Date 4/19/12 Application pin number . . . 257600 Property Address . . . . . . 1035 W 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0946 -0000 - Application type description RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . Property 'Zoning . . . . . . . UNKNOWN Application valuation . . . . 162761 ---------------------------------------------------------------------------- Application desc 2021 SF SFR W/ATTACHED GARAGE ---------------------------------------------------------------------------- Owner Contractor JAMES, MARY FRESHWATER BAY BUILDERS 1120 R ST 1120 R ST PORT TOWNSEND WA 98368 PORT TOWNSEND WA 98368 (360) 808-3688 (360) 808-7690 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . Permit Fee . . . . 1280.00 Plan Check Fee .00 Issue Date . . . . 4/19/12 Valuation . . . . 162761 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension 1.00 1280.0000 EA PW W/M 1" SERV 5/8" METER ---------------------------------------------------------------------------- 1280.00 Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . . ' Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 4/19/12 Valuation . . . . 162761 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ------------------ Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. March 27, 2012 8:31:06 AM sroberds. The proposal is a new sfr in the RS -7 w/att garage for total of 200 lot cov and 33% site cov. No land use issues anticipated. March 27, 2012 10:06:30 AM banders. New electrical service location will need to be discussed and approved. Overhead or underground service available from pole across alley to northeast of property. Electrical load calculations and electrical permits are required. All construction work within the City right of way requires a separate Right of Way Construction application to be REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. q 161 Signature of Contractor or Authorized Agent Date Signature oOwner (if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD `! ° CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS ,UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE T:Forms/Building Division/Public Works Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 4174807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. IPLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit f ^tCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000320 Date 4/19/12 Application pin number . . . 257600 Property Address . . . . . . 1035 W 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0946 -0000 - Application type description RES NEW SFR Subdivision Name . . . . . . Property Use . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 162761 ---------------------------------------------------------------------------- Application desc 2021 SF SFR W/ATTACHED GARAGE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES, MARY FRESHWATER BAY BUILDERS 1120 R ST 1120 R ST PORT TOWNSEND WA 98368 PORT TOWNSEND WA 98368 (360) 808-3688 (360) 808-7690 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . , SFR W/ATTACHED GARAGE Permit Fee . . . . 1373.05 Plan Check Fee 892.48 Issue Date . . . . 4/19/12 Valuation . . . . 162761 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension BASE FEE 1020.25 63.00 5.6000 THOU BL -100,001-500K (5.60 PER K) 352.80 Permit . . . . . . MECHANICAL PERMIT Additional desc . . SFR W/ATTACHED GARAGE Permit Fee . . . . 118.05 Plan Check Fee .00 Issue Date . . . . 4/19/12 Valuation . . . . 0 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension BASE FEE 50,00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 4.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 42.60 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP, ---------------------------------------------------------------------------- 10.65 Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 191.00 Plan Check Fee .00 Issue Date . . . . 4/19/12 Valuation . . . . 0 Expiration Date . . 10/16/12 Qty Unit Charge Per Extension BASE FEE 50.00 8.00 7.0000 EA PL -PLUMBING TRAP 56.00 1.00 7.0000 EA PL -WATER LINE 7.00 8.00 7.0000 EA PL -DRAIN VENT PIPING 56.00 1.00 15.0000 EA PL -SEWER LINE 15.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. o %�};ii „ l' V Y�� L1,1 , �r►ni�) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCE=PTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date I Accepted By Comments FOUNDATION: Fire Footings Planning 417-4750 Stemwall 417-4815 Foundation Drainage / Downspouts I Piers Post Holes (Pole Bldgs.) I PLUMBING: Under Floor / Slab Rough -In Water Line (Meter to Bldg) I Gas Line Back Flow / Water I IFINAL Date Accepted by AIR SEAL: Walls Ceiling 1 FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / LightingI I ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Fnrme/Ri iilriinn nivicinn/Ri dIrlinn Pprmit JO i Lam, -" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 F' Application Number . . . . . 12-00000320 Date 4/19/12 Application pin number 257600 Qty Unit Charge Per Extension 1.00 7.0000 EA PL -WATER HEATER 7.00 ---------------------------------------------------------------------------- WTVf Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be iof contrasting color from the background. March 27, 2012 8:31:06 AM sroberds. a The proposal is a new sfr in the RS -7 w/att garage for total of 20% lot cov and 331., site cov. No land use issues k' anticipated. * J ,.�.: March 27, 2012 10:06:30 AM handers. New electrical service location will need to be discussed and approved. Overhead or underground service available from pole across alley to northeast of property. Electrical load calculations and electrical permits are required. All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. A pedestrian or traffic control plan is to be submitted for approval with the application as necessary. Sanitary sewer connection inspection is required by Public Works prior to back fillof ditch. 24 hour advance notice is required. Public Works Inspection request line 417-4831 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES OVERHEAD SERVICE FEE 440.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 ------------------------------------------------------------------- > Fee summary Charged Paid Credited Due a----------------- ---------- Permit Fee Total 1682.10 1682.10 .00 .00 �N Plan Check Total 892.48 892.48 .00 .00 Other Fee Total 4964.50 4964.50 .00 .00 Grand Total 7539.08 7539.08 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ,t 'of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ;{ o Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCE=PTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By FOUNDATION: Footings ` �D'/d+ n Stemwall �7• !ib' /�Ll� Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor /Slab - Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water AIR SEAL: Walls Ceiling I FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs h aD Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab I I Wall / Floor / Ceiling I -t ' I-- ' I -a— I < ) (A, MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line "�' Zl�• IZ Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting (PLANNING DEPT. Separate Permit#s Parking / Lighting 11-andscaping Comments I I FINAL Date Accepted by 1 1 1 I (FINAL Date II 1 SEPA: ESA: SHORELINE: Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Pnrmc/Ri iilrlinn nivicinn/Ri 61riinn Parmit A PREPARED 11/01/12, 10:52:40 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES APPLICATION --------------- PROPERTY --------------------------------------------------------------------------- ADDRESS - ASSESSOR PARCEL NUMBER ALTERNATE ID --------- STRUCTR ------------------------------------------------------------------------------------------------------------------------------------ PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR 12 00000320 1035 W 5TH ST 06-30-00-0-1-0946-0000- 063000010946 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLFW 0001 BLDG FOUND FTG/STEM WALL 5/01/12 APPROVED JLL REQ COMM: April 30, 2012 8:34:00 AM hcatuzo. REQ COMM: CHRIS. EARLY AM. 808-7690 RES COMM: May 1, 2012 8:13:35 AM jlierly. RES COMM: UFR installed./ JLL 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLFO 0001 BLDG FOUNDATION 5/04/12 APPROVED JLL REQ COMM: May 4, 2012 8:52:58 AM hcatuzo. REQ COMM: JEFF 461-6246 RES COMM: May 4, 2012 5:05:23 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL9 0001 BLDG SHEARWALL 6/20/12 APPROVED JLL REQ COMM: June 20, 2012 8:38:21 AM hcatuzo. REQ COMM: CHRIS 775-1786 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BAIR 0001 BLDG AIR SEAL 7/17/12 APPROVED JLL REQ COMM: RES COMM: July 17, 2012 4:10:52 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL3 0001 BLDG FRAMING 7/17/12 APPROVED JLL REQ COMM: July 17, 2012 8:50:43 AM hcatuzo. REQ COMM: CHRIS 808-7690 RES COMM: July 17, 2012 4:10:52 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLI 0001 BLDG INSULATION 7/20/12 APPROVED JLL REQ COMM: July 20, 2012 8:56:38 AM hcatuzo. REQ COMM: CHRIS 808-7690 RES COMM: July 20, 2012 3:58:04 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLWS 0001 BLDG INSULATION WALL/FLOO 7/23/12 CANCELLED JLL REQ COMM: July 23, 2012 8:34:33 AM hcatuzo. REQ COMM: CHRIS JAMES. 808-7690 RES COMM: July 23, 2012 4:35:39 PM jlierly. RES COMM: Inspection was completed on 7/20/12 verified with owner RES COMM: before cancellation/jll 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL99 0001 BLDG FINAL 9/26/12 DISAPPROVED JLL REQ COMM: September 26, 2012 8:27:46 AM pbarthol. REQ COMM: Chris 808-7690 RES COMM: September 26, 2012 3:58:03 PM jlierly. RES COMM: Address numbes and complete siding on front entry alcove.. RES COMM: Ok to occupy temp CO for 30days/jll 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 9/26/12 APPROVED RV REQ COMM: September 27, 2012 12:47:56 PM rvess. RES COMM: Final with condition driveway at alley needs to be RES COMM: maintained until retaining wall and other site work is RES COMM: completed, no erosion or sediment to leave site. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL99 0002 BLDG FINAL 10/17/12 APPROVED JLL REQ COMM: October 17, 2012 9:15:26 AM pbarthol. PREPARED 11/01/12, 10:52:40 INSPECTION HISTORY REPORT PAGE 2 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ------------------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR ------------------------------------------------------------------------------------------------------------------------------------ PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR 12 00000320 CONTINUED REQ COMM: Mary 808-3688 RES COMM: October 17, 2012 4:17:24 PM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME6 0001 MECHANICAL GAS LINE 7/20/12 APPROVED JLL REQ COMM: July 20, 2012 8:57:55 AM hcatuzo. REQ COMM: MARK 808-0174 RES COMM: July 20, 2012 3:58:04 PM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 9/26/12 APPROVED JLL REQ COMM: September 26, 2012 8:28:26 AM pbarthol. REQ COMM: chris 808-7690 RES COMM: September 26, 2012 3:57:56 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL1 0001 PLUMBING UNDER SLAB 5/11/12 APPROVED JLL REQ COMM: May 10, 2012 9:10:52 AM hcatuzo. REQ COMM: CHRIS 808-7890 RES COMM: May 11, 2012 9:44:36 AM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 6/27/12 APPROVED JLL REQ COMM: June 27, 2012 8:41:57 AM hcatuzo. REQ COMM: JEFF 461-6246 RES COMM: June 27, 2012 4:17:50 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PLSP 0001 PLUMBING SHOWER PAN 8/06/12 APPROVED JLL REQ COMM: August 6, 2012 8:58:57 AM hcatuzo. REQ COMM: CHRIS 808-7690 RES COMM: August 6, 2012 4:05:50 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 9/26/12 APPROVED JLL REQ COMM: September 26, 2012 6:29:01 AM pbarthol. REQ COMM: Chris 808-7690 RES COMM: September 26, 2012 3:57:56 PM jlierly. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 7/20/12 APPROVED RV REQ COMM: July 20, 2012 1:01:46 PM rvess. RES COMM: July 20, 2012 1:03:01 PM rvess. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW4 0001 PUBLIC WORKS STORM 7/20/12 APPROVED RV REQ COMM: July 20, 2012 1:02:07 PM rvess. RES COMM: July 20, 2012 1:03:10 PM rvess. CITY OF PORT ANGELES 321 E 5TH STREET P.O. BOX 1150 PORT ANGELES WA 98362 C E R T I F I C A T E O F O C C U P A N C Y T E M P O R A R Y Issue Date . . . . . . 9/26/12 Expiration Date . . . . 10/26/12 Parcel Number . . . . . 06 -30 -00 -0 -1 -0946 -0000 - Property Address . . . 1035 W 5TH ST PORT ANGELES WA 98363 Subdivision Name . . . Legal Description . . . LOT 12 BLK 109 Property Zoning . . . . UNKNOWN Owner . . . . . . . . . JAMES, MARY Contractor . . . . . . FRESHWATER BAY BUILDERS 360 808-7690 Application number 12-00000320 000 000 Description of Work RES NEW SFR Construction type . . . -� Occupancy type . . . . / Flood Zone . . . j Special conditions September 26, 2012 3:5.9: 8 PM jli rl adress numbers visible om stree / insih siding at front entrance alcove... OK t occupy r c 11 within 30days time for final/jll Approved . . . . . . . /J ldi Ag><5 ffic�J' VOID UNLESS SIGNED Y BUILDING OFFICIAL FILE COPY Cc)o -I::!- //'Ve- I, 1 ! I 1 1 1 06,7 00 06 �eaT /.2. -&1 C /0? /7,•9X, 3 2 ' �' `' � 3 � ' -ter kJ,�l741� 3s�9 ltss /9 ' JI -461Z, 3� 1 circ OF PORT ANGELES — canstrtacs4ar I The Issuance of this permit based upon these pians, s cctio:is and other data shall not prevent the building; from thereafter fequiring the correc';,in of errors i plans, specificat ons and other data, or from preq build ne ooerati s being carried on thereunder wi viola ion of allodes and ordinanus of this jurist ..�64-mj i »l��f' 6e�1a�? c;?C ��il Ilj�e� s�y,K 0-0 -IVE-CV V MAR 24 20 CITY OF PORT ANC BUILDING DIVISI E •T OA -pX L ILI OD 06 Gill - 00 LIA 00 -L-1 „7/t/ ,SE `�P,4 C X111 Al alk 99 (2£ 19 0 P -4-M 3&a}�- 9'2 I—A c 136 I• � I �.�a !-�rALL �-iDr,iNl-, BSc-xid Z�f o C- I . --- �J144) So I,�t " I i r1 1 I - « �..._...-"'.�.-,_....._•_i"--:'*;_^:�..•:Ex"'.'y"•o....«r..�.-...._..n....r« x. .^P{'N.m.i� �!f+�w.Y.c'•a'+",',„ems—�`^,i YY'v -- WOR s j U lI 7 vo —/-?10/,- 4Ltl"l ic--- 7-,-J / /� � 06 lig 64-- -3�'q� ®r 'Ro "-- a m I -Zd ap RE MORI wi . . . . . . . . . . Pz 7T ag Com_ �:.��U� A6 C:'A) el:�,J le,zz, 93 9 Mr-lim 40 qr Z2< 6 6- ........ . ...... 4-A Z 11VS, 30f ..'qA-Y ��5�'S5 � 16c.�GJ��f•JS �_3.' t � I E Pr I UQ.o fS—MA-S--L— S. I �l f i , ��5�'S5 � 16c.�GJ��f•JS �_3.' t � I E Pr I UQ.o fS—MA-S--L— e 8, i .z Yll -//W, un -// SX 7f" ) t� �,7 V�d/�S r"v.lrBf -O mi -'- _t ^� f fib_. ��-�I:-�-r -,-, �i-�- =�►��:_f:--►-,�,- �.E. _I-} � IY��-r��==�-: ��_ �_ _� ��- ,� i , LIA-IZAG,E_ op �. MECN'�r�lc�L t)) k6,� .f t ,74- ( 4 - P -TT I t�, ArL/D 4.1 �LEV�7"E D 6;P,4cE 7-4- ` oco - �-ryRov,� 1 111 _ . � ij . 7z -ft — ATr1L- S 7-4,xZ4 G�'fTlL Cis cm- PSG Pic T' 2'`�� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000460 Date 4/23/12 Application pin number . . . 183640 Property Address . . . . . . 1035 W STH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0946 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Temp Pole ---------------------------------------------------------------------------- Owner Contractor JAMES, MARY BOB'S ELECTRIC INC 1120 R ST 2293 DEER PARK RD. PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 808-3688 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL TEMPORARY SERVICE Additional desc . Permit Fee . . . . 93.00 Plan Check Fee .00 Issue Date . . . . 4/23/12 Valuation . . . . 0 Expiration Date 10/20/12_ Qty Unit Charge Per Extension 1.00 93.0000 ECH EL -TEMP SRV 0-200 SRV FDR 93.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 93.00 93.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 93.00 93.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 1-Z��44" -W COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION V,'?�. Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street — P.O. Boa 110 / Port Angeles Washington, 95362 INSPECTIONS Ph: (360) X4%17-4735 Fax: (360) 417-4711 Date: W • �,,. rc>xT i,�, •r..—. Af_ ate— - 1 & 2 Single Family Dwelling — Multi -Family or Commercial* _Commercial Addition /Alteration /Remodel/ Repair* * Plan Review May Be Required Please Complete Electrical Pian Review Information Sheet RMS Job Address: RS W S Building Square ? ootage: Description of above Dn Pary &i.e./' Owner Information Contraonfp t' r>, Name:6�, AS-'y-Gn^e'S Name., Y[ I Maiiin Address: /03T w Swk rr 2 Mallin Ad�tre�ss: �tl 1Po%� City: o('1#npe(er State: )v�/ Zip: b p%y-fTl City: o/Yl�i„ �CCJ State;l,r zio: 9>� 3C- Phone:f X-'),CiO Fax: 4b Phon - 7 Fax License f / Exp. License; / Exp. Item Unit Charqe Qty Total (Qtv Multiplied bV Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $ 204.60 $ Service/Feeder 601-1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2.60 Branch Circuit W/0 Service Feeder S 73.50 S Each Additional Branch Circuit S 2.60 S' Temp. Service/ Feeder 200 Amp. S 92.70 _� $ 902► % D Temp. Service/Feeder 201-400 Amp. $110.30 $ Temp. Service/Feeder 401-600 Amp. $145.70 Temp. Service/Feeder 601-1000 Amp. S 167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting S 88.20 $ Signal Circuit! Limited Energy / First 1500 sf - Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Sional Circuit/ Limited -Energy - i & 2 Family Dwelling $ 63.90 S Signal Circuit/ Limited Energy - Multi -Family Dwelling S 63.90 S Manufactured Home Connection $119.90 S Renewable lectrical Energy - 5KVA System or Less S 102.30 S Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Fi. or Portion of $ 35.20 $ -Each Outbuilding or Detached Garage $ 73.50 $ each Swimming Pool or Hot Tub $110.30 $ $ Q2 , 7O Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical. laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Dated: ❑ Cash E3 Check I (V Cred1tCard#-0yT ► , ` 01/0112010 . i